DEPARTMENT OF ENGLISH RLL 210 INSTRUCTOR NAME

DEPARTMENT OF ENGLISH
GRADUATE INDEPENDENT STUDY FORM
NAME (print):
PHONE:
NSHE:
REBELMAIL:
PROGRAM:
SELECT COURSE (circle one):
Open to all:
PhD only:
MFA only:
792: Directed Studies
in Language
796: Independent
Study
798: Doctoral
Research
799*: Dissertation
739: Translation
790*: Thesis Hours
749: Critical Essay
794: Int’l Component
(6 credits)
# OF CREDITS:
TERM & YEAR:
MA only:
SECTION # (provided by administrator):
797*: Masters Thesis
* Indicates courses with Pass/Fail
grading; all others must be taken for a
letter grade.
STATEMENT OF PROGRAM: Provide a detailed description of proposed course of study, including the objective of the course, the method of
evaluation (written or oral exam, presentation, paper, etc.), details of the final product (including approximate word count, if applicable), a proposed
bibliography or reading list, and the anticipated number of meetings student will have with instructor. Attach a separate page if necessary.
STUDENT SIGNATURE:
COMMITTEE CHAIR*:
INSTRUCTOR NAME (please print):
CREATIVE WRITING COORDINATOR (MFA only):
INSTRUCTOR SIGNATURE:
GRADUATE COORDINATOR:
* Students who have not yet appointed a committee may have the appropriate coordinator sign in lieu of Committee Chair.
RETURN COMPLETED FORM TO RLL 210